Comparison of the Analgesic Effect of Different Local Anesthetics in Interscalene Nerve Block for Shoulder Surgery
1 other identifier
interventional
30
0 countries
N/A
Brief Summary
Several reports have compared the duration of action of levobupivacaine and ropivacaine as local anesthetic. The most widely used method for sensory function evaluation is though means of a pinprick test. The investigators want to use the novel method of Quantitative Sensory Testing to better evaluate the anesthetic activity. This method used hot and cold sensation to assess small nerve fiber function. The investigators will assess the duration of action of different drugs when used in an inter scalene nerve block in patients scheduled for shoulder surgery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4
Started Dec 2010
Longer than P75 for phase_4
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2015
CompletedFirst Submitted
Initial submission to the registry
February 1, 2016
CompletedFirst Posted
Study publicly available on registry
February 25, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2016
CompletedAugust 15, 2016
August 1, 2016
5 years
February 1, 2016
August 11, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Length of nerve block measured in longitudinally recorded significant changes in sensory thresholds using quantitative sensory testing
Length of difference in cold and heat pain and sensation measured with quantitative sensory testing
24 hours after intervention
Secondary Outcomes (3)
Need for rescue drugs, as requested by the patient after surgery
24 hours after intervention
Motor activity block, longitudinally recorded inability to move the blocked limb
24 hours after intervention
Intensity of nerve block, recorded as maximal changes in sensory thresholds using quantitative sensory testing
24 hours after intervention
Study Arms (3)
Ropivacaine 0.75%
ACTIVE COMPARATORThe investigators administer 5 milliliters of Ropivacaine 0.75% in the inter scalene space
Levobupivacaine 0.5%
ACTIVE COMPARATORThe investigators administer 5ml of Levobupivacaine 0.5% in the inter scalene space
Levobupivacaine 0.5% + epinephrin
ACTIVE COMPARATORThe investigators administer 5ml of Levobupivacaine 0.5% + epinephrin 1/200000 in the inter scalene space
Interventions
The investigators adminster 5ml of Ropivacaine 0.75% in an ultrasound-guided inter scalene nerve block
The investigators adminster 5ml of Levobupivacaine 0.5% in an ultrasound-guided inter scalene nerve block
The investigators adminster 5ml of Levobupivacaine 0.5% + epinephrin 1/200000 in an ultrasound-guided inter scalene nerve block
Eligibility Criteria
You may qualify if:
- American Society of Anesthesia class I or II
- Scheduled for shoulder surgery
You may not qualify if:
- Mental retardation
- Allergy for local anesthetics
- NSAID intolerance or contraindicated
- Diabetes mellitus
- Chronic use of pain killers
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Related Publications (1)
Sermeus LA, Schepens T, Hans GH, Morrison SG, Wouters K, Breebaart MB, Smitz CJ, Vercauteren MP. A low dose of three local anesthetic solutions for interscalene blockade tested by thermal quantitative sensory testing: a randomized controlled trial. J Clin Monit Comput. 2019 Apr;33(2):307-316. doi: 10.1007/s10877-018-0150-3. Epub 2018 May 3.
PMID: 29725795DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Luc Serieus, MD
University Hospital, Antwerp
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD
Study Record Dates
First Submitted
February 1, 2016
First Posted
February 25, 2016
Study Start
December 1, 2010
Primary Completion
December 1, 2015
Study Completion
April 1, 2016
Last Updated
August 15, 2016
Record last verified: 2016-08
Data Sharing
- IPD Sharing
- Will not share